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Questions and Answers

What is the recommended treatment for urge incontinence?

  • Estrogen patch
  • Surgical intervention
  • Vaginal estrogen (correct)
  • Teach them to self cath

What is the recommended management for a patient with a cystocele who is asymptomatic?

  • Immediate surgical repair
  • Prescribe estrogen therapy
  • Prescribe pelvic floor exercises
  • Don't do ANYTHING unless she's symptomatic (correct)

What is the appropriate hormone replacement therapy for a 57-year-old female who had a hysterectomy?

  • Hormone replacement (estrogen), NO progesterone (correct)
  • Testosterone replacement therapy
  • Selective estrogen receptor modulators (SERMs)
  • Estrogen + progesterone

What is the primary risk factor for developing ovarian neoplasms?

<p>Age (D)</p> Signup and view all the answers

What is the gold standard imaging modality for ovarian neoplasms?

<p>Transvaginal ultrasound (B)</p> Signup and view all the answers

Which tumor is known for secreting estrogen and may present with postmenopausal bleeding?

<p>Granulosa cell (sex cord) tumor (A)</p> Signup and view all the answers

What is Meigs syndrome associated with?

<p>Fibromas (D)</p> Signup and view all the answers

What is the primary treatment for ovarian cancer?

<p>REMOVE ovaries (D)</p> Signup and view all the answers

Which test is most appropriate for diagnosing Trichomonas infection?

<p>KOH wet prep (A)</p> Signup and view all the answers

What is the most appropriate treatment for stress incontinence?

<p>Surgery (sling) (D)</p> Signup and view all the answers

What is the most common cause of vaginal discharge in a 27-year-old female with itching and burning symptoms?

<p>Candida infection (D)</p> Signup and view all the answers

What is the most appropriate procedure for surgical staging for endometrial cancer?

<p>Hysterectomy + bilat salpingo-oophorectomy + para-aortic/pelvic LN dissection (D)</p> Signup and view all the answers

What is the most appropriate initial test for diagnosing candida in a 27-year-old female with vaginal discharge, itching, and burning?

<p>KOH wet prep (C)</p> Signup and view all the answers

What would a wet prep show in a 75-year-old woman with yellow vaginal discharge, vaginal dryness, and discomfort?

<p>Parabasal cells (A)</p> Signup and view all the answers

What is the recommended treatment for Trichomonas infection?

<p>Metronidazole + treat partner (C)</p> Signup and view all the answers

What is the most appropriate next step in management for a 23-year-old woman with vaginal discharge, severe pelvic pain, fever, and tachycardia, who shows cervical motion tenderness and Chandelier’s sign?

<p>IV antibiotics (A)</p> Signup and view all the answers

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